Care Specialist

🕒 August 27

⚔️ Virginia – Remote

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⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 23%

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Logo of Equality Health

Equality Health

201 - 500 employees

🏥 Healthcare

☁️ SaaS

⚕️ Healthcare Insurance

💰 Private equity on 2022-01

Healthcare • SaaS • Healthcare Insurance

Equality Health is simplifying value-based care and building pathways to better health outcomes for Medicaid and historically under-resourced communities. The company integrates data-driven technology (CareEmpower®), skilled practice coaching, and patient engagement to support providers, health plans, and members. Equality Health focuses on enabling equitable, value-based care through software, practice transformation, and partnerships with payers and providers to improve individual and population health outcomes.

📋 Description

• Conduct outbound phone calls to members to conduct health assessments, identify care needs, and determine appropriateness for participation in care coordination programs • Assist and support patients with barriers to care, including scheduling appointments and locating and accessing community resources • Work collaboratively with patients, network providers, referral coordinators, office and hospital staff; document all activities • Communicate care coordination services available to patients and caregivers • Screen for physical health and behavioral health needs to refer to appropriate healthcare professionals for effective and timely intervention • Perform activities that provide meaningful data to providers, patients, and their families • Participate in educational programs to maintain current skill and competency levels • Perform miscellaneous job-related duties as assigned • Work closely with Community Health Workers, Chaplains, and other Clinical Operations team members • Maintain ethical behavior, professionalism, sensitivity, and confidentiality

🎯 Requirements

• Associate’s degree in Healthcare or a related field of study; or, an equivalent combination of education and/or experience • Minimum two (2) years of experience in a directly related position in the healthcare industry • Proficiency with Microsoft Office applications and web-based technologies • Strong outbound calling experience • Ability to work independently in a productivity-based environment • Tech-savvy: able to navigate multiple systems simultaneously • Comfortable learning proprietary platforms • Basic Excel proficiency (pivot tables, formulas, project-based spreadsheets) • Reliable high-speed internet meeting company specs • Flexible schedule within assigned market hours • Ability to pivot between priorities quickly • Previous experience, knowledge and understanding of coordinating care for members • Familiarity with federal and state laws and requirements related to healthcare and health information protection • One or more of the following certifications: Basic Life Support (BLS), Certified Medical Assistant (CMA), Certified Nursing Assistant (CNA), Emergency Medical Technician (EMT) • Excellent verbal, written and interpersonal communication skills • Demonstrated ability to gain acceptance and compliance from clinical staff to achieve mutually beneficial outcomes • Excellent problem-solving skills, including the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action • Strong organizational and prioritization skills; able to manage multiple activities and work independently with minimal supervision • Bilingual (strongly preferred) • Experience in customer service environments (call center acceptable if adaptable)

🏖️ Benefits

• Remote work arrangement • Flexible schedule adjustments may be requested periodically to support engagement initiatives or priority campaigns • Equality Health benefits flyer provided for prospective candidates (specific benefits not stated in the posting)

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